316 Federal W-4 Form- Employee Withholding Allowance - ISD 316 WEBSITE from Itasca Area Schools Collaborative

316 Federal W-4 Form- Employee Withholding Allowance - ISD 316 WEBSITE

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The information collected in this form will become part of your permanent personnel file with ISD 316. Please read the instructions carefully before completing this form.

Employee’s Withholding Certificate
- Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.
- Give Form W-4 to your employer.
- Your withholding is subject to review by the IRS

For full instructions and details on completing W-4, Click here for assistance if you desire to complete steps 2-4 of this form.

Step 1: Enter Personal Information

First name and middle initial:

Last Name:

Home Address (number and street or rural route):

City or Town, State, and Zip Code:

(b) Social security number

Marital Status:

Single or Married filing separately

Married filing jointly (or Qualifying widow(er))

Head of household (Check only if you’re unmarried and pay more than half the costs of keeping up a home for yourself and a qualifying individual.)

Complete Steps 2 - 4 ONLY if they apply to you; otherwise, skip to Step 5. See instructions for more information on each step, who can claim exemption from withholding, when to use the online estimator, and privacy.

Step 2: Multiple Jobs or Spouse Works

Complete this step if you (1) hold more than one job at a time, or (2) are married filing jointly and your spouse also works. The correct amount of withholding depends on income earned from all of these jobs.
Do only one of the following.

(a) Use the estimator at www.irs.gov/W4App for most accurate withholding for this step (and Steps 3 - 4); or
(b) Use the Multiple Jobs Worksheet on page 3 of the instructions and enter the result in Step 4(c) below for roughly accurate withholding; or
(c) If there are only two jobs total, you may check this box. Do the same on Form W-4 for the other job. This option is accurate for jobs with similar pay; otherwise, more tax than necessary may be withheld

Yes

Complete Steps 3 - 4(b) on Form W-4 for only ONE of these jobs. Leave those steps blank for the other jobs. (Your withholding will be most accurate if you complete Steps 3 - 4(b) on the Form W-4 for the highest paying job.)

Step 3: Claim Dependents

If your income will be $200,000 or less ($400,000 or less if married filing jointly):

Multiply the number of qualifying children under age 17 by $2,000

Multiply the number of other dependents by $500

Add the amounts above and enter the total here

Step 4 (optional): Other Adjustments

(a) Other income (not from jobs). If you want tax withheld for other income you expect this year that won’t have withholding, enter the amount of other income here. This may include interest, dividends, and retirement income.

(b) Deductions. If you expect to claim deductions other than the standard deduction and want to reduce your withholding, use the Deductions Worksheet on page 3 of the instructions and enter the result here.

Step 5: Sign Here

Under penalties of perjury, I declare that this certificate, to the best of my knowledge and belief, is true, correct, and complete.

By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.

Employers: Reach out to applicant tracking support to hard-code Employer’s name and address and Employer identification number (EIN) to this form

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History

Step: Fill out the form
Sent To: Public User, On: 4/5/2025 7:26:39 PM Central Standard Time

Itasca Area Schools Collaborative - 316 Federal W-4 Form- Employee Withholding Allowance - ISD 316 WEBSITE